Individual provider Active NPI

Bryce C. Fitzpatrick, MSN, FNP-C

  • Family Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1245755404
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP10490 Issued in AZ
Practice address
3645 S Rome St Ste 216
Gilbert, AZ 85297-7338
Phone
(623) 516-8252
Fax
(623) 516-8253
NPI assigned
Aug 9, 2017
Last updated
Mar 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP10490 AZ Primary

Addresses

Primary practice location

3645 S Rome St Ste 216
Gilbert, AZ 85297-7338

Mailing address

5281 N 99TH Ave Ste 100
Glendale, AZ 85305-2209
Phone (623) 516-8252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181221000667 AZ Practitioner - Nurse Practitioner 8426393331 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Anesthesiology Consultants, Inc. CurrentSince Jan 1, 2020 Accepting new patients
Canyon Pain and Spine CurrentSince Oct 10, 2021 Accepting new patients
Canyon Pain and Spine CurrentSince Oct 10, 2021 Accepting new patients

Locations

1425 S Higley Rd
Ste 102
Gilbert, AZ 85296
Phone (480) 329-3453

10238 E Hampton Ave
Ste 416
Mesa, AZ 85209
Phone (937) 206-0377

1500 S Dobson Rd
Ste 101
Mesa, AZ 85202
Phone (480) 306-6098

4540 E Baseline Rd
Ste 117
Mesa, AZ 85206
Phone (480) 561-0446

645 E Missouri Ave
Ste 300
Phoenix, AZ 85012
Phone (602) 262-8917

13920 W Camino del Sol
Ste 8
Sun City West, AZ 85375
Phone (623) 544-6900

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1245755404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5281 N 99TH AVE STE 100",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853052209",
            "telephone_number": "623-516-8252",
            "fax_number": "623-516-8253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3645 S ROME ST STE 216",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977338",
            "telephone_number": "623-516-8252",
            "fax_number": "623-516-8253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZPATRICK",
        "first_name": "BRYCE",
        "middle_name": "C.",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-09",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP10490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.